NPI age
19 years
Enumerated 2006-09-20
● Active
Type 1 · Individual
Shannon Lee Brantley, PHARMD
Brantley is 1 of 8 pharmacist providers in Mountain Home Afb and 1 of 1739 in Idaho.
Primary specialty
Pharmacist
Licensed in
AZ
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1739 active pharmacist providers in Idaho.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
90 Hope Dr Bldg 6000, 366 Mdss/sgsap
Mountain Home Afb, ID 836481062
Mailing address
420 E 12th North
Mountain Home, ID 83647
Specialties
-
Pharmacist PrimaryAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
Practice context
Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.